CMS Price Transparency Data
Blood test, ferritin (iron stores)
Facility: Trinity Health Oakland Hospital
Billing Code: 82728 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82728
- Insurance Median: $74
- Cash Discount Price: $71
- vs. Medicare Baseline: 5.43x Medicare
The contracted insurance negotiated median rate for a Blood test, ferritin (iron stores) at Trinity Health Oakland Hospital is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $13.63, this hospital’s rate is 5.43x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$71
Average discount available for prompt cash payment at this facility.
Insurance Median
$74
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$13.63
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $13.63 (100%)
Cash / Self-Pay: $71 (521%)
Insurance Median: $74 (543%)
Cash: $71 (521% of Medicare)
Ins. Median: $74 (543% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $13.63 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 543% of the Medicare baseline (a markup of 443%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $7 - $14 | 51% |
| Medicaid / KanCare | $7 - $8 | 51% |
| Aetna | $13 - $49 | 95% |
| Blue Care Network Advantage | $13 | 95% |
| Medicare (plans) | $13 - $14 | 95% |
| Align Senior Care | $14 | 103% |
| Bcn Domestic | $14 | 103% |
| Blue Benefit Administrators Of Massachusetts | $14 | 103% |
| Blue Care Network | $14 | 103% |
| Blue Distinction Transplant | $14 | 103% |
| Blue Shield - Ca | $14 | 103% |
| Blue Shield - Id (Regence) | $14 | 103% |
| Blue Shield - Ny Highmark Northeastern | $14 | 103% |
| Blue Shield - Ny Highmark Western | $14 | 103% |
| Blue Shield - Pa (Highmark) | $14 | 103% |
| Blue Shield - Wa (Regence) | $14 | 103% |
| Cca - Zing Health | $14 | 103% |
| Health Choices | $14 - $80 | 103% |
| Hospice Advantage | $14 | 103% |
| Kaiser Domestic | $14 | 103% |
| UnitedHealthcare | $14 - $82 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $15 | 110% |
| U Of M Health Plan | $16 | 117% |
| Molina Marketplace | $18 | 132% |
| Geha | $20 - $82 | 147% |
| Medical Mutual | $20 | 147% |
| Meritain | $20 | 147% |
| Priority Health | $20 - $23 | 147% |
| Health Cost Solutions | $21 | 154% |
| Vitalcore | $21 | 154% |
| Wellpath | $21 | 154% |
| Employee Benefit Logistic | $31 | 227% |
| Wc Accident Fund | $33 | 242% |
| Wc Advantage | $33 | 242% |
| Wc Aig | $33 | 242% |
| Wc Allied | $33 | 242% |
| Wc Amerisure | $33 | 242% |
| Wc Amtrust | $33 | 242% |
| Wc Asu Risk Mgt | $33 | 242% |
| Wc Berkley Admin | $33 | 242% |
| Wc Broadspire | $33 | 242% |
| Wc Bunch & Associates | $33 | 242% |
| Wc Ccmsi | $33 | 242% |
| Wc Emc Insurance Company | $33 | 242% |
| Wc Esis | $33 | 242% |
| Wc Fcci | $33 | 242% |
| Wc Federated | $33 | 242% |
| Wc Gallagher Bassett | $33 | 242% |
| Wc Genex Care For Ohio | $33 | 242% |
| Wc Guard Insurance Company | $33 | 242% |
| Wc Hartford | $33 | 242% |
| Wc Liberty Mutual | $33 | 242% |
| Wc Meijers | $33 | 242% |
| Wc Michigan | $33 | 242% |
| Wc Mitchell Frankenmuth | $33 | 242% |
| Wc Pma | $33 | 242% |
| Wc Sedgwick | $33 | 242% |
| Wc Sentry | $33 | 242% |
| Wc Travelers | $33 | 242% |
| Wc Tristar | $33 | 242% |
| Wc Walmart | $33 | 242% |
| Wc Zurich | $33 | 242% |
| Asr Health Benefits | $45 | 330% |
| Caresource | $45 | 330% |
| Hap | $45 - $79 | 330% |
| Varipro | $45 | 330% |
| Acs Benefit Services | $48 | 352% |
| Allied Benefit Systems | $48 | 352% |
| Claimchoice Adminstrators | $48 | 352% |
| Consociate | $48 | 352% |
| Cypress Benefit Administrators | $48 | 352% |
| Forest County Potawatomi | $48 | 352% |
| Health Smart | $48 | 352% |
| Healthgram | $48 | 352% |
| Healthscope | $48 | 352% |
| Secureone Preferred United Plans | $48 | 352% |
| Sisco Benefits | $48 | 352% |
| The Health Plan | $48 | 352% |
| Trustmark Small Business Benefits | $48 | 352% |
| Unified Group Services | $48 | 352% |
| Webtpa | $48 | 352% |
| Mclaren Health | $52 - $57 | 382% |
| Carelon Behavioral Health | $54 | 396% |
| Magellan Behavioral Health | $65 | 477% |
| 1199 National Benefit Fund | $74 | 543% |
| Allied National Global Care | $74 | 543% |
| Asrm - Reliance Standard Life Insurance | $74 | 543% |
| Christian Care Ministry | $74 | 543% |
| Dean Health | $74 | 543% |
| Fallon Health | $74 | 543% |
| Family Life Insurance Company | $74 | 543% |
| Ghc Scw | $74 | 543% |
| Group Pension Administrators | $74 | 543% |
| International Benefit Administrators | $74 | 543% |
| Lifetime Benefit Solutions | $74 | 543% |
| Manhattan Life | $74 | 543% |
| Medi Share | $74 | 543% |
| Multiplan | $74 | 543% |
| Mvp | $74 | 543% |
| Pai | $74 | 543% |
| Pan-American Life | $74 | 543% |
| Paramount Hmo | $74 | 543% |
| Phcs | $74 | 543% |
| Trinity Health Share | $74 | 543% |
| Health Partners | $79 | 580% |
| Tufts Health Plan | $79 | 580% |
| Access Health | $80 | 587% |
| Acclaim | $80 | 587% |
| Administrative Concepts | $80 | 587% |
| Allegeant | $80 | 587% |
| Ameriben | $80 | 587% |
| American Family | $80 | 587% |
| American Healthcare Alliance | $80 | 587% |
| American National | $80 | 587% |
| American Republic | $80 | 587% |
| Amerihealth | $80 | 587% |
| Aultcare | $80 | 587% |
| Automated Benefit Services | $80 | 587% |
| Auxiant | $80 | 587% |
| Benefit Administrative Systems,Llc | $80 | 587% |
| Boon Chapman | $80 | 587% |
| Cam Administrative Services | $80 | 587% |
| Christian Brother Services | $80 | 587% |
| Christian Brothers Holy Cross | $80 | 587% |
| Comprehensive Benefits | $80 | 587% |
| Continental Life Insurance | $80 | 587% |
| Custom Benefit Administrators | $80 | 587% |
| Employee Benefit Concepts | $80 | 587% |
| Employee Benefit Management | $80 | 587% |
| Enterprise Group Planning | $80 | 587% |
| Freedom Life Insurance Company | $80 | 587% |
| Group Administrators | $80 | 587% |
| Group Marketing Services | $80 | 587% |
| Guardian | $80 | 587% |
| Health America | $80 | 587% |
| Healthcare Management Admin | $80 | 587% |
| Healthez | $80 | 587% |
| Humana | $80 | 587% |
| Insight | $80 | 587% |
| Intercare | $80 | 587% |
| Jfp Benefit Management | $80 | 587% |
| Jp Farley Corporation | $80 | 587% |
| Key Benefit Administrator | $80 | 587% |
| Liberty Union Life Assurance Co | $80 | 587% |
| Lucent Health | $80 | 587% |
| Luminare Health | $80 | 587% |
| Luminare Health (Detroit) | $80 | 587% |
| Magnacare | $80 | 587% |
| Medben | $80 | 587% |
| Medcost | $80 | 587% |
| Mutual Health Services | $80 | 587% |
| Mutual Of Omaha | $80 | 587% |
| Ncas | $80 | 587% |
| Nippon Life Ins | $80 | 587% |
| Nova | $80 | 587% |
| Painters Union Insurance Fund | $80 | 587% |
| Physicians Mutual | $80 | 587% |
| Plumbers Local 98 Insurance Fund | $80 | 587% |
| Prairie States | $80 | 587% |
| Preferred One | $80 | 587% |
| Primary Physician Care | $80 | 587% |
| Professional Benefit Administrators | $80 | 587% |
| Siho Insurance Services | $80 | 587% |
| The Loomis Company | $80 | 587% |
| Unicare | $80 | 587% |
| Us Health And Life | $80 | 587% |
| Valenz | $80 | 587% |
| Western & Southern Financial Group | $80 | 587% |
| Wps | $80 | 587% |
| Cigna | $81 | 594% |
| Coventry | $82 | 602% |
| First Health | $82 | 602% |
| Prime Health Services | $87 | 638% |
| Three Rivers Provider Network | $98 | 719% |
| Cmh Detroit Wayne Integrated Health Network | $109 | 800% |
| Cmh Lenawee County | $109 | 800% |
| Cmh Livingston County | $109 | 800% |
| Cmh Misc | $109 | 800% |
| Cmh Monroe County | $109 | 800% |
| Cmh Oakland County | $109 | 800% |
| Cmh Washtenaw County | $109 | 800% |